Bmtth LLC

Organization Active NPI Community/Retail Pharmacy · Durant, OK

NPI 1104145846 · NPPES record last updated Oct 29, 2018

Key facts

NPI
1104145846
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
27-7201 (OK)
Legal business name
BMTTH LLC
Practice address
2432 W Main St
Durant, OK 74701-4807
Phone
(580) 920-1400
Fax
(580) 920-1451
NPI assigned
May 20, 2010
Organization subpart
No

Authorized official

Name
Michele Oller
Title
Manager
Phone
(405) 761-7932

National Provider Directory

Locations

2432 W Main St
Durant, OK 74701
Phone (580) 920-1400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 27-7201 OK Yes

Addresses

Primary practice location

2432 W Main St
Durant, OK 74701-4807

Mailing address

2432 W Main St
Durant, OK 74701-4807
Phone (580) 920-1400

Other identifiers

IdentifierTypeStateIssuer
200292460AMedicaidOK
2125165OtherPK

Other names

  • Durant Drug Doing business as
  • Durant Medical Pharmacy Former legal business name

Other providers in Durant, OK

All providers in Durant, OK · Community/Retail Pharmacy in Oklahoma

Sources for this page

Verify at the official NPI Registry.